MEDICARE: FARAH ALI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	500018533	DC

General Provider Information

NPI Number	:	1770328569
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FARAH ALI

Provider Business Mailing Address
First Line	:	2901 TELESTAR CT STE 300
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22042-1263
Country	:	US
Telephone Number	:	703-591-1688
Fax Number	:	703-591-1445

Provider Business Practice Location Address
First Line	:	1005 N GLEBE RD STE 750
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22201-5766
Country	:	US
Telephone Number	:	703-524-7202
Fax Number	:	703-516-4501

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2024
Last Update Date	:	09/29/2025

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